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1699088955
PHYLLIS MACCHIO
PORT JEFFERSON, NY
NPI
1699088955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F300768-1 NP)
Enumeration Date
2010-07-15
Last Update Date
2010-07-15
Business Address
Ms. PHYLLIS MACCHIO NP
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
Ms. PHYLLIS MACCHIO NP
PO BOX 5120
MILLER PLACE, NY 11764-1102
Phone number: 631-331-1546
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